Fomepizole 1 gram/ml intravenous solution at HCA HOUSTON WEST
12141 RICHMOND AVENUE, HOUSTON, TX · HCA Houston Healthcare · · NPI 1275580938
$5,637.00
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$5,637.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$10.61 with United vs $5,073.30 with Affiliated PPO — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| United | SmallGroup | $10.61 | ↓ -100% |
| United | AllPayerAppendix | $10.61 | ↓ -100% |
| United | NarrowNetworkIndivExchange | $10.61 | ↓ -100% |
| BCBS | MyBlueHealth | $20.33 | ↓ -100% |
| BCBS | BAV | $22.40 | ↓ -100% |
| BCBS | EPOSOA | $28.00 | ↓ -100% |
| BCBS | HMO | $28.00 | ↓ -100% |
| BCBS | PPO | $28.00 | ↓ -100% |
| Cigna | CSN | $31.19 | ↓ -99% |
| Cigna | OpenAccessPlus | $33.77 | ↓ -99% |
| Cigna | PPO | $40.22 | ↓ -99% |
| Humana | PPO | $129.25 | ↓ -98% |
| Humana | HMO | $129.25 | ↓ -98% |
| Superior Health Plan | STAR | $338.22 | ↓ -94% |
| Superior Health Plan | STARPLUS | $338.22 | ↓ -94% |
| Superior Health Plan | CHPFC | $338.22 | ↓ -94% |
| Superior Health Plan | CHIP | $338.22 | ↓ -94% |
| Superior Health Plan | STARKids | $338.22 | ↓ -94% |
| Community Health Choice MCD | CHIPPerinatal | $732.81 | ↓ -87% |
| Community Health Choice MCD | STAR+PLUS | $732.81 | ↓ -87% |
| Community Health Choice MCD | STAR | $732.81 | ↓ -87% |
| Community Health Choice MCD | CHIP | $732.81 | ↓ -87% |
| Amerigroup | MGMCD | $789.18 | ↓ -86% |
| Amerigroup | MCDCHIPBH | $789.18 | ↓ -86% |
| Texas Childrens Health Plans | CHIP | $935.74 | ↓ -83% |
| United | OptionsPPO | $947.02 | ↓ -83% |
| Texas Childrens Health Plans | STAR | $1,335.97 | ↓ -76% |
| Texas Childrens Health Plans | STARKIDS | $1,335.97 | ↓ -76% |
| Texas Workforce Commission | WCOMP | $1,352.88 | ↓ -76% |
| BCBS | Traditional | $1,972.95 | ↓ -65% |
| Christus (USFHP) | TRICARE | $2,254.80 | ↓ -60% |
| HealthSmart Preferred Care | ACCEL | $2,423.91 | ↓ -57% |
| United | GlobalAppendix | $2,536.65 | ↓ -55% |
| Coventry National First Health | COMM | $3,004.52 | ↓ -47% |
| Rockport Workers Comp | COMM | $3,100.35 | ↓ -45% |
| Physicians Cooperative of Texas | WC | $3,100.35 | ↓ -45% |
| Triumph | COMM | $3,382.20 | ↓ -40% |
| National Healthcare Solutions | COMM | $3,382.20 | ↓ -40% |
| SouthWest Medical | WORKERSCOMP | $3,382.20 | ↓ -40% |
| Independent Medical System | COMM | $3,382.20 | ↓ -40% |
| Coastal Comp | COMM | $3,664.05 | ↓ -35% |
| Multiplan | PHCSPrimaryNetwork | $4,227.75 | ↓ -25% |
| Cigna Behavioral Health | COMMBH | $4,509.60 | ↓ -20% |
| HealthSmart Preferred Care | PPO | $4,622.34 | ↓ -18% |
| Multiplan | ComplementaryNetwork | $4,791.45 | ↓ -15% |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | $4,791.45 | ↓ -15% |
| Physicians, INC | COMM | $4,791.45 | ↓ -15% |
| Affiliated PPO | COMM | $5,073.30 | ↓ -10% |
Visitor-reported prices
Comments
Fomepizole 1 gram/ml intravenous solution at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $3,178.98 | $9.33 – $3,046.55 |
| St. Luke's Health - The Vintage Hospital | Houston | $3,178.98 | $8.80 – $3,046.55 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $10.61 – $129.25 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $10.61 – $129.25 |
| Adventhealth Rollins Brook | Lampasas | $2,076.23 | $39.92 – $39.92 |
| Covenant Children's Hospital | Lubbock | $5,959.39 | $23.03 – $41.40 |
| St. Luke's Health Memorial Lufkin | Lufkin | $14,265.66 | $5.46 – $35.06 |
| HCA HOUSTON PEARLAND | Pearland | $6,659.22 | $10.61 – $129.25 |